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NPI Code Detail

MEDICARE: TYMUR STRYZHYEVSKYI

MEDICARE:   TYMUR  STRYZHYEVSKYI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistCERTIFIEDNY

General Provider Information

NPI Number : 1396616843
Entity Type Code : Individual
Provider Name (Legal Business Name) : TYMUR STRYZHYEVSKYI
Provider Business Mailing Address
First Line : 437 MANHATTAN ST
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10307-1810
Country : US
Telephone Number : 646-643-1167
Fax Number :
Provider Business Practice Location Address
First Line : 437 MANHATTAN ST
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10307-1810
Country : US
Telephone Number : 646-643-1167
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2025
Last Update Date : 09/17/2025

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Directions to “ TYMUR STRYZHYEVSKYI ” Practice Location

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